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Complete Repair Of Tetralogy Of Fallot With Conduit

Montana rates for HCPCS 33697

Open-heart surgery in a child born with tetralogy of Fallot in which the pathway to the lung arteries is completely blocked. The hole between the two pumping chambers is closed, and a tube is placed from the right pumping chamber to the lung artery to create a route for blood to reach the lungs.

Rates data updated July 2026.

How much does Complete Repair Of Tetralogy Of Fallot With Conduit cost?

$3,467

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $3,548 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$2,042 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,548$3,467 to $3,631

How much rates vary

Facilitymedian $3,548 · 10th to 90th $3,467 to $3,890Professionalmedian $2,884 · 10th to 90th $1,995 to $10,233
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,548professional $2,884

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,162.28
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,548.13
Typical High
$3,890.45
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,548.13
Typical High
$3,890.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$3,981.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,949.84
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,548.13
Typical High
$5,623.41

Where Montana sits

The same service costs 5.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $3,467 · 18th of 51
CA $13,183WV $2,239

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.